Please print out this form, fill it in, and mail it

in £(UK) to:	in $(US) to:
Stephen Friend IASMM School of Education & Theology York St John College Lord Mayor's Walk YORK YO31 7EX England	The Revd David Hurty 140 Cabrini Blvd., Apt. 33 NEW YORK NY 10033 - 3432 USA

Please include your cheque for the appropriate amount.

Your Name	_____________________________________
Address	_____________________________________
	_____________________________________
	_____________________________________
Post / Zip Code	_____________________________________
E-mail Address	_____________________________________
Particular interest in Maritime Mission
	_____________________________________
	_____________________________________
	_____________________________________

Membership fee is for one calendar year

	Individuals	Organisations
Europe	£15 (UK)	£20 (UK)
USA:	$20 (US)	$25 (US)

Cheques should be made payable to "IASMM".